Lancs and South Cumbria doctor publishes research

Lancashire and South Cumbria FT older adults psychiatrist Dr Qutub Jamali has recently published an article on biomarkers for vascular dementia. For more work published by Dr Jamali and other LSCFT staff, look out for the forthcoming LSCFT Research Bulletin, compiled by LSCFT Library staff.

Identification of biomarkers for vascular dementia: a literature review | BJPsych Advances | Cambridge Core

Public Health

Current Awareness Updates

Age-Friendly Health Systems: Guide to Care of Older Adults in Nursing Homes.
Institute for Healthcare Improvement (IHI); 2022.
(This updated [US] guide helps care teams prepare for, test, and implement age-friendly care practices. Designed to be used with an accompanying workbook for nursing home teams, the guide outlines the 4Ms – What Matters, Medication, Mentation, and Mobility – for nursing home care of older adults.)

Cold weather plan for England.
UK Health Security Agency (UKHSA); 2022.
https://www.gov.uk/government/collections/cold-weather-plan-for-england
(01 November 2022: Updated Cold weather health risks slide set.)

WHO: At least 17 million people in the WHO European Region experienced long COVID in the first two years of the pandemic; millions may have to live with it for years to come.
World Health Organization (WHO); 2022.
(To help address the gaps in our knowledge of long COVID and advocate for people living with the condition, WHO/Europe today announced an official partnership with Long COVID Europe, a network organization that to date comprises 19 patient associations, based in Member States across the European Region.)

Poverty and the health and care system: the role of data and partnership in bringing change .
The King’s Fund; 2022.
(Poverty causes ill health, drives inequality in health outcomes and increases use of health services. This King’s Fund long read considers how successful sharing and acting on data can support health and care systems in mitigating, reducing and preventing poverty’s effects on health.)

Developing learning health systems in the UK: priorities for action.
The Health Foundation; 2022.
(Learning health systems are able to learn from the routine care they deliver and improve it as a result. In this report, we explore in detail what makes a learning health system, and look at how they can be developed. We explore four important areas especially relevant to LHSs: learning from data, harnessing technology, nurturing learning communities and implementing improvements to services.)

Sensory-friendly resource pack: resources to improve the sensory environment for autistic people.
NHS England; 2022.
(During 2021/22 NHS England has funded a variety of projects to support Integrated Care Systems in developing sensory friendly environments for autistic people. This document outlines the projects commissioned and draws them together into a cohesive resource pack for local health systems to use to support their autistic citizens.)

Public Health

Current awareness updates

Alcohol is one of the biggest risk factors for breast cancer.
World Health Organization (WHO); 2021.
[Alcohol is classified as a Group 1 human carcinogen by IARC. It is causally linked to 7 types of cancer. Besides female breast cancer, it increases the risk of developing oral cavity (mouth), pharynx (throat), oesophagus (gullet), liver, larynx (voice box) and colorectum (large intestine and rectum) cancers. There is no safe level of alcohol consumption. The risk of breast cancer increases with each unit of alcohol consumed per day.]

Myalgic encephalomyelitis (or encephalopathy)/chronic fatigue syndrome: diagnosis and management.
National Institute for Health and Care Excellence (NICE); 2021.
[This guideline covers diagnosing and managing myalgic encephalomyelitis (or encephalopathy)/chronic fatigue syndrome (ME/CFS) in children, young people and adults. It aims to improve awareness and understanding about ME/CFS and when to suspect it, so that people are diagnosed earlier. It includes recommendations on diagnosis, assessment and care planning, safeguarding, access to care and managing ME/CFS and its symptoms.]

Eligible for a free flu vaccine this winter? Don’t wait, book it.
UK Health Security Agency (UKHSA); 2021.
[With flu and COVID-19 expected to be in wide circulation together this winter, UK Health Security Agency is urging more people than ever to get their free flu vaccine, if they are eligible. In this blog the UK Health Security Agency answers some common questions about this year’s flu season.]

The use of wearables and health apps and the willingness to share self-collected data among older adults.
Seifert A. Aging and Health Research 2021;1(3):100032.
[The aim of this study was to examine the extent to which older adults utilize mobile health tracking tools in everyday life and their willingness to share the collected health-related data with doctors, health insurance companies, or research institutions. 75.0% of the participants used at least one mobile device; 22.9% used health-related apps. Participants were more often willing to share their data with doctors than with health insurance companies or researchers.]

Changes in childhood experimentation with, and exposure to, tobacco and e-cigarettes and perceived smoking norms: a repeated cross-sectional study of 10–11 year olds’ in Wales.
BMC Public Health; 2021.
[Children’s experimentation with and exposure to tobacco, and their perceptions of smoking as a normative behaviour, have continued to decline alongside growth in exposure to e-cigarettes. Although a large majority of pupils reported they minded people smoking around them, there was some evidence of diminishing disapproval of secondhand smoke since 2007.]

Understanding Sexual Aggression in UK Male University Students: An Empirical Assessment of Prevalence and Psychological Risk Factors.
Sexual Abuse; 2021.
[University-based sexual aggression is an international public health issue; however, to date, there have been no formal assessments of the prevalence or psychological indicators associated with the proabuse behaviors of the most common perpetrators at UK universities: heterosexual male students.]

Patients as team members: Factors affecting involvement in treatment decisions from the perspective of patients with a chronic condition.
Health Expectations; 2021.
[From the patients’ perspective, this study shows that there is no one-size-fits-all approach to involving patients more actively in their healthcare journey. Strategies aiming to enhance active patient involvement among patients with a chronic condition should consider this diversity in perspectives among these patients.]

Lead exposure in children: surveillance reports (from 2021).
UK Health Security Agency (UKHSA); 2021.
[Results of laboratory-based surveillance of elevated blood lead concentrations in children in England.]

Seasonal flu vaccine uptake in children of school age: monthly data, 2021 to 2022.
UK Health Security Agency (UKHSA); 2021.
[Cumulative vaccine uptake data for the childhood seasonal flu programme in England.]

Review: Physical activity interventions for the mental health and well-being of adolescents – a systematic review. [Abstract]
Hale GE. Child and Adolescent Mental Health 2021;26(4):357-368.
[Rates of physical activity decline throughout adolescence, and evidence indicates that this has an adverse impact on psychological health. This paper aims to synthesise available evidence for physical activity interventions on the mental health and well-being of young people (11-19 years) from the general population.]

Telehealth interventions: remote monitoring and consultations for people with chronic obstructive pulmonary disease (COPD). [Abstract]
Janjua S. Cochrane Database of Systematic Reviews 2021;7:CD013196.
[BACKGROUND: Face-to-face visits with health professionals can be hindered by severity of COPD or frailty, and by people living at a distance from their healthcare provider and having limited access to services. Telehealth technologies aimed at providing health care remotely through monitoring and consultations could help to improve health outcomes of people with COPD.]

Strategies to improve smoking cessation rates in primary care. [Abstract]
Lindson N. Cochrane Database of Systematic Reviews 2021;9:CD011556.
[OBJECTIVES: To assess the effectiveness of strategies intended to increase the success of smoking cessation interventions in primary care settings. To assess whether any effect that these interventions have on smoking cessation may be due to increased implementation by healthcare providers.]

Living with dementia: my life, my goals.
Alzheimer’s Society; 2021.
[A new self-help guide for people living with dementia. The guide helps people with dementia achieve their goals step-by step. It was created by researchers from the GREAT trial in collaboration with people living with dementia.]

Covid 19 Vaccination

Making vaccination a condition of deployment in older adult care homes

Source: The King’s Fund Health Management and Policy Alert

Older adults living in care homes have been significantly affected by the COVID-19 pandemic because of their heightened risk to COVID-19 infection, often with devastating consequences, as well as the risk of outbreaks in these closed settings.

To increase vaccine take-up among staff working in care homes, the government is considering amending the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. This would mean older adult care home providers could only use those staff who have received the Covid-19 vaccination (or those with a legitimate medical exemption) in line with government guidance. You can get involved and participate by completing this public survey.

The deadline for responding to the consultation is 21 May 2021.

For more information on the consultation click here.

Public Health

Current Awareness Updates

Health on the high street: Embedding healthy living into urban regeneration after the pandemic Social Market Foundation; January 2021

(This report argues that town centres where shops and offices fall vacant should be used to establish new ‘health hubs’ combining GP surgeries, health and social care services and gyms. The report profiles examples where local authorities and health care bodies are already developing such hubs, which it suggests could be a model for other areas in future)

New Every Mind Matters campaign Public Health England; 18th January 2021

(The new campaign launches to support the nation’s mental health, as half of adults say they are more worried during this current lockdown than in March 2020.)

SACN statement on nutrition and older adults living in the community Public Health England; 20th January 2021

(This position statement by the Scientific Advisory Committee on Nutrition (SACN) provides an overview of the currently available evidence on nutrition in older adults and its impact on healthy ageing. It considers evidence relating to adults aged 65 years and over living in the community.)

Memory aids in parks and gardens for people with dementia.
Carried out by Frankie Marcelline from Brighton and Sussex on 8/1/2021
https://www.knowledgeshare.nhs.uk/index.php?PageID=literature_search_request_download&RequestID=26876
(This search report contains evidence on the use of memory aids of garden flora in the outdoor setting. Results include a study on Enrico Sassi’s conception of a garden where patients can wander around safely and has memory aids in the shape of vertical structures with fragrant plants and herbs for patients to freely touch, smell and taste. Results include reviews on the effectiveness and more general benefits of gardens as memory aids for those with neurodegenerative conditions.)

National Diabetes Audit – Care Processes and Treatment Targets, Quarterly Data Release, January to September 2020.
NHS Digital; 2021.

(This is the quarterly release of data from the National Diabetes Audit (NDA). It is the mid-year data release for the second extraction of NDA 2020-21 data. It shows progress to date covering the period 1 January to 30 September 2020. It shows partial year progress against care processes and treatment targets. It also provides the latest position on structured education. It therefore can be used as an operational planning tool to assess progress to date.)

Multidisciplinary care of diabetes.
Carried out by Kevin Burgoyne from Brighton and Sussex on 9/1/2021
https://www.knowledgeshare.nhs.uk/index.php?PageID=literature_search_request_download&RequestID=26607
(Some qualitative and mixed methods research is available on this question, including 3 systematic reviews looking at various aspects related to the question. Case studies from UK networks looking at aspects of wider integrated care have also been found and included in case they can be useful. Foot care seems to be a big driver in diabetes care in the UK at the moment, and there are more publications focused on multidisciplinary care around this which can be retrieved if necessary.)

Effects of Pfizer mRNA vaccine on female fertility.
Carried out by Frankie Marcelline from Brighton and Sussex on 11/1/2021
https://www.knowledgeshare.nhs.uk/index.php?PageID=literature_search_request_download&RequestID=26845
(It is early days and currently there is no evidence to suggest fertility is affected by the Pfizer vaccine (or any other COVID-19 vaccine). There is guidance and advice on being vaccinated while pregnant, but nothing on long/short term female fertility.)

Daily contact testing in schools: statement from PHE and NHS TT about next steps.
Public Health England (PHE); 2021.

(Position statement regarding daily contact testing for coronavirus (COVID-19) in schools from Public Health England and NHS Test and Trace.)

Predictors of COVID-19 vaccine hesitancy in the UK Household Longitudinal Study.
Robertson E. medRxiv 2020;:doi: https://doi.org/10.1101/2020.12.27.20248899.
(Herd immunity may be achievable through vaccination in the UK but a focus on specific ethnic minority and socioeconomic groups is needed to ensure an equitable vaccination programme. This article is a preprint and has not been peer-reviewed.)

Learning from the first wave of COVID-19.
South Yorkshire and Bassetlaw Integrated Care System; 2020.

(A new research-led report details how health and care partners across South Yorkshire and Bassetlaw were able to continue delivering non-essential patient care and services during the first wave of the COVID-19 pandemic through digital innovation, reconfiguring services and enhanced partnership collaboration.)

Please contact Academic.Library@lscft.nhs.uk if you are struggling to access any research articles.